28/100
#1,929 nationally
Community Hospital Of The Monterey Peninsula
23625 W R Holman Highway, Monterey, CA 93940 · (831) 624-5311
Charges far above the national norm
For every $1 of care Medicare actually paid for here, Community Hospital Of The Monterey Peninsula billed $5.98 in list charges. That gap does not change a Medicare patient's bill — but it is where an uninsured or out-of-network bill starts.
- Charge-to-payment
- 6.0x
- volume-weighted across all its priced work
- Procedures priced
- 161
- inpatient and outpatient combined
- Rank in CA
- #112
- lower markup ranks higher
- CMS quality stars
- 4/5
- shown for context, not in the grade
How this grade was reached
Each component is scored against every other U.S. hospital in the same federal files, so the grade is a position in the country, not a pass mark we invented.
Better than 19% of U.S. hospitals.
Better than 63% of U.S. hospitals.
Better than 13% of U.S. hospitals.
Better than 13% of U.S. hospitals.
What this hospital treats most
The ten procedures it billed Medicare for most often, with its charge beside the national middle.
| Procedure | Patients | Charged | Actually paid | vs national |
|---|---|---|---|---|
|
Comprehensive Observation Services
APC 8011 · Hospital outpatient visit |
1,017 | $22,597 | $3,852 | +16% |
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
554 | $175,068 | $28,009 | +168% |
|
Level 2 Excision/ Biopsy/ Incision and Drainage
APC 5072 · Hospital outpatient visit |
404 | $9,874 | $2,280 | about average |
|
Heart Failure (severe)
MS-DRG 291 · Inpatient stay |
245 | $123,140 | $17,010 | +184% |
|
Respiratory Infection (severe)
MS-DRG 177 · Inpatient stay |
192 | $136,842 | $19,659 | +149% |
|
Level 5 Musculoskeletal Procedures
APC 5115 · Hospital outpatient visit |
177 | $69,287 | $18,490 | +11% |
|
Level 3 Electrophysiologic Procedures
APC 5213 · Hospital outpatient visit |
162 | $221,977 | $33,145 | +67% |
|
Level 5 Urology and Related Services
APC 5375 · Hospital outpatient visit |
160 | $35,676 | $7,286 | +30% |
|
Level 1 Laparoscopy and Related Services
APC 5361 · Hospital outpatient visit |
155 | $35,064 | $8,041 | about average |
|
Level 1 Endovascular Procedures
APC 5191 · Hospital outpatient visit |
152 | $34,390 | $4,596 | +36% |
Where its charges run furthest above the national middle
Only procedures it performed at least eleven times, so a single unusual case cannot produce the headline.
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Digestive Malignancy with Major Complications
MS-DRG 374 · Inpatient stay |
$309,601 | $52,377 | +259% |
|
Cirrhosis and Alcoholic Hepatitis with Major Complications
MS-DRG 432 · Inpatient stay |
$254,735 | $32,987 | +219% |
|
Organic Disturbances and Intellectual Disability
MS-DRG 884 · Inpatient stay |
$155,300 | $26,266 | +211% |
|
Irregular Heartbeat (severe)
MS-DRG 308 · Inpatient stay |
$134,455 | $14,586 | +184% |
|
Heart Failure (severe)
MS-DRG 291 · Inpatient stay |
$123,140 | $17,010 | +184% |
|
Kidney Failure (with complications)
MS-DRG 683 · Inpatient stay |
$91,628 | $14,807 | +178% |
|
Skin Infection (severe)
MS-DRG 602 · Inpatient stay |
$140,330 | $17,965 | +173% |
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
$175,068 | $28,009 | +168% |
Where it charges least relative to everyone else
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Level 3 Musculoskeletal Procedures
APC 5113 · Hospital outpatient visit |
$16,571 | $4,558 | -19% |
|
Level 2 Laparoscopy and Related Services
APC 5362 · Hospital outpatient visit |
$49,819 | $14,469 | -17% |
|
Level 2 Breast/lymphatic Surgery and Related Procedures
APC 5092 · Hospital outpatient visit |
$33,029 | $8,761 | -16% |
|
Level 4 Vascular Procedures
APC 5184 · Hospital outpatient visit |
$30,385 | $7,738 | -16% |
|
Back and Neck Procedures Except Spinal Fusion with Major Complications or Disc Device or
MS-DRG 518 · Inpatient stay |
$179,617 | $41,619 | -13% |
|
Level 1 Abdominal/peritoneal/biliary and Related Procedures
APC 5341 · Hospital outpatient visit |
$20,673 | $4,872 | -11% |
|
Combined Anterior and Posterior Spinal Fusion with Complications
MS-DRG 454 · Inpatient stay |
$199,725 | $69,916 | -10% |
|
Level 3 Vascular Procedures
APC 5183 · Hospital outpatient visit |
$17,244 | $4,488 | -10% |
What this page cannot tell you
- It is not your bill. These are averages across Medicare patients. What you pay depends on your insurance, your plan's negotiated rate and your own case.
- It is not a quality rating. A hospital with a high markup may be excellent, and one with a low markup may not be. We checked: across every U.S. hospital, markup and the CMS quality star rating barely move together.
- A charge is not a cost. Hospitals do not collect their list charges from insured patients. The number matters because it is the opening figure on an uninsured or out-of-network bill.
- Ask for the real number. Every U.S. hospital must publish a machine-readable price file and give you a written good-faith estimate on request.